MR. CHITCHAWAL SAHATEVASUKONT (N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053661074
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. CHITCHAWAL SAHATEVASUKONT (N.P.)
22722 29TH DR SE
STE 100
BOTHELL, WA 980214420
Phone: (770) 363-0793
Type: Location
1920 VARIATIONS DR NE
ATLANTA, GA 303291009
Phone: (770) 363-0793
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $277.
Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($197).
Total Amount
$277
General + Research + Ownership
Payments
3
Total payment records
General Amount
$277
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $197 |
| Biogen, Inc. | $80 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170626002189 | I | Nurse Practitioner | GA | TBD |
| I20200616002590 | I | Nurse Practitioner | WA | TBD |
| I20200616003495 | I | Nurse Practitioner | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98021)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 223 | 66 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Clinical Social Worker | IA | |
| Clinical Social Worker | NC | |
| Mental Health Counselor | MT | |
| - | IA | |
| Nurse Practitioner | TN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.